评估综合校园社区预防干预以减少大学人群中与酒精相关的问题。

Robert F Saltz, Lara R Welker, Mallie J Paschall, Maggie A Feeney, Patricia M Fabiano
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引用次数: 43

摘要

目的:本文评估了西华盛顿大学的社区与学生互动项目——一个通过提高学生融入他们所居住的社区和对社区的责任感来减少破坏性校外派对的综合策略。干预措施包括增加“派对重点巡逻”的次数和宣传,并与该市合作制定监管机制,以减少对同一地址重复的有问题的派对电话。执法部分还辅之以以校园为基础的深夜扩展节目,以及社区参与战略,其中包括一个旨在提高学生在社区中安全和合法生活的知识和技能的教育网站,在与校园相邻的社区开展服务学习项目,以及一个以社区为基础的冲突解决方案。方法:采用华盛顿三所公立大学的数据进行评价。除了西华盛顿大学的场地,第二个校园为“自然实验”创造了机会,因为它在相同的时间框架内采用了非常相似的干预措施,创建了两个干预地点和一个比较地点。2005年和2006年基于网络的年度学生调查包括酒精消费、酒精相关问题以及学生对酒精控制和预防活动的看法。结果:虽然三个校区的统计效力有限,但使用分层线性模型的结果显示,干预学校的重度间歇性饮酒患病率显着降低(优势比= 0.73;N = 6150名学生)。结论:研究结果表明,酒精控制措施可以有效地减少大学环境中的问题饮酒。这些发现有力地支持以更大的能力和更严格的设计进行复制。
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Evaluating a comprehensive campus-community prevention intervention to reduce alcohol-related problems in a college population.

Objective: This article evaluates Western Washington University's Neighborhoods Engaging with Students project-a comprehensive strategy to decrease disruptive off-campus parties by increasing student integration into and accountability to the neighborhoods in which they live. The intervention includes increasing the number of and publicity regarding "party emphasis patrols" and collaboration with the city to develop a regulatory mechanism to reduce repeat problematic party calls to the same address. The enforcement components are complemented by campus-based, late-night expansion programming, as well as neighborhood engagement strategies including an educational Web site designed to increase students' knowledge of and skills in living safely and legally in the community, service-learning projects in the campus-contiguous neighborhoods, and a neighborhood-based conflict-resolution program.

Method: The evaluation comprised data from three public universities in Washington. In addition to the Western Washington University site, a second campus created an opportunity for a "natural experiment" because it adopted a very similar intervention in the same time frame, creating two intervention sites and one comparison site. Annual, Web-based student surveys in 2005 and 2006 included measures of alcohol consumption, alcohol-related problems, and student perception of alcohol control and prevention activities.

Results: Although statistical power with three campuses was limited, results using hierarchical linear modeling showed that the prevalence of heavy episodic drinking was significantly lower at the intervention schools (odds ratio = 0.73; N = 6,150 students).

Conclusions: The results suggest that alcohol control measures can be effective in reducing problematic drinking in college settings. These findings strongly support conducting a replication with greater power and a more rigorous design.

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